A study of prevalence and determinants of gestational diabetes mellitus

Thathagari, Varija; Doddaiah, Vanaja; Raghavenda, Bellara

doi:10.18203/2320-1770.ijrcog20161282

Cited by 6 publications

(15 citation statements)

References 14 publications

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“…History of congenital anomalies have 4.3 times odds more likely to develop GDM compare those without history of congenital anomalies. This finding is consistent with previous study [28, 93]. Similarly, to those with history of macrosomia and PIH have 4 times and 3 times for odds to have higher insulin resistance.…”

Section: Discussionsupporting

confidence: 93%

Prevalence and risk factors of gestational diabetes mellitus in Asia: a systematic review and meta-analysis

Lee

Ching

Ramachandran

et al. 2018

BMC Pregnancy Childbirth

382

273

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BackgroundGestational diabetes mellitus (GDM) is a of the major public health issues in Asia. The present study aimed to determine the prevalence of, and risk factors for GDM in Asia via a systematic review and meta-analysis.MethodsWe systematically searched PubMed, Ovid, Scopus and ScienceDirect for observational studies in Asia from inception to August 2017. We selected cross sectional studies reporting the prevalence and risk factors for GDM. A random effects model was used to estimate the pooled prevalence of GDM and odds ratio (OR) with 95% confidence interval (CI).ResultsEighty-four studies with STROBE score ≥ 14 were included in our analysis. The pooled prevalence of GDM in Asia was 11.5% (95% CI 10.9–12.1). There was considerable heterogeneity (I2 > 95%) in the prevalence of GDM in Asia, which is likely due to differences in diagnostic criteria, screening methods and study setting. Meta-analysis demonstrated that the risk factors of GDM include history of previous GDM (OR 8.42, 95% CI 5.35–13.23); macrosomia (OR 4.41, 95% CI 3.09–6.31); and congenital anomalies (OR 4.25, 95% CI 1.52–11.88). Other risk factors include a BMI ≥25 kg/m2 (OR 3.27, 95% CI 2.81–3.80); pregnancy-induced hypertension (OR 3.20, 95% CI 2.19–4.68); family history of diabetes (OR 2.77, 2.22–3.47); history of stillbirth (OR 2.39, 95% CI 1.68–3.40); polycystic ovary syndrome (OR 2.33, 95% CI1.72–3.17); history of abortion (OR 2.25, 95% CI 1.54–3.29); age ≥ 25 (OR 2.17, 95% CI 1.96–2.41); multiparity ≥2 (OR 1.37, 95% CI 1.24–1.52); and history of preterm delivery (OR 1.93, 95% CI 1.21–3.07).ConclusionWe found a high prevalence of GDM among the Asian population. Asian women with common risk factors especially among those with history of previous GDM, congenital anomalies or macrosomia should receive additional attention from physician as high-risk cases for GDM in pregnancy.Trial registrationPROSPERO (2017: CRD42017070104).

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Section: Discussionsupporting

confidence: 93%

Prevalence and risk factors of gestational diabetes mellitus in Asia: a systematic review and meta-analysis

Lee

Ching

Ramachandran

et al. 2018

BMC Pregnancy Childbirth

382

273

View full text Add to dashboard Cite

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“…26 A study by Thathagari et al from Karnataka reported that 59.5% were Multigravidae and 40.5% were Primigravidae. 27 Another study from Saudi Arabia reported 9.9% participants were Primigravidae while 90.1% were Multigravida. 28 In our study 31.7% participants were primigravidae and 68.3% were Multigravida.…”

Section: Resultsmentioning

confidence: 98%

Prevalence of gestational diabetes mellitus and associated risk factors amongst antenatal women attending urban health centre of Rajkot City, Gujarat

Nimavat

Dadwani

Kartha

2019

Int J Community Med Public Health

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Background: Prevalence of gestational diabetes mellitus (GDM) vary widely depending on the region of the country, dietary habits, and socio-economic status. This study was undertaken to determine the prevalence of GDM and risk factors associated with it, in women attending an antenatal care (ANC) clinic at urban health training center in Rajkot city, Gujarat.Methods: This study enrolled women, with estimated gestational age between 24 and 28 week, attending UHC in Rajkot. After informing, women who consented to participate were given a standardized 75 g oral glucose tolerance test (OGTT). A proforma containing general information on demographic characteristics, socio-economic status, education level, parity, family history of diabetes and/or hypertension was filled up. Diabetes in pregnancy study group India (DIPSI) criteria for 75 g 2-h OGTT was used for diagnosing GDM.Results: Total of 366 women participated in the study and GDM was diagnosed in 36 (9.8%) women. Age, parity, BMI, family history of DM and hypertension were accessed and found to be not significant. History of hypertension in previous pregnancy was statistically significant with occurrence of GDM in present pregnancy.Conclusions: The prevalence of GDM was found to be 9.8 per cent in a UHC, Rajkot. Appropriate interventions are required for control of GDM and modifications of risk factors.

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“…8 In the present study the incidence of GDM was found to be 5.49% which was comparable to other studies conducted in India by Varija Thathagari et al in Mysore (5.5%), Maxima Anand et al in Punjab (5.3%) and Kalpana Varma in Uttar Pradesh (6.72%). 3,9,10 However, studies done by Shridevi AS et al in Davangere (11.5%), Karnataka and Pallav Parikh et al in Gujarat (13.79%) showed higher incidence of GDM. 4,11 This shows that there are wide variations in the incidence of GDM as reported in different parts of India.…”

Section: Discussionmentioning

confidence: 98%

“…2 Studies have shown that there has been a rising trend of GDM in India, the prevalence ranging from 5.5% during 2005-2006 to 11.5% during 2013-2014. 3,4 This is probably associated with advancing maternal age, increased prevalence of maternal obesity, sedentary lifestyle and physical inactivity.…”

Section: Introductionmentioning

confidence: 99%

Incidence and risk factors of gestational diabetes mellitus in antenatal mothers in Goa, India

Naik

Pednekar

Cacodcar

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Gestational Diabetes Mellitus (GDM) accounts for almost 90% of all pregnancies complicated by diabetes. Its prevalence in the Indian population ranges from 5.5% to 11.5 %.Methods: The present study was undertaken to assess the incidence of GDM among antenatal mothers admitted in Goa Medical College for a period of 18 months and also to study the risk factors associated with GDM amongst such cases.Results: Present study revealed that among 7717 antenatal mothers who were admitted and delivered in our Hospital, 424 women were diagnosed with GDM. Of these women diagnosed with GDM, almost one third were in the age group of 31- 35 years (35.8%); 56.2 % of these women were multigravidas. Advancing maternal age, rising parity, obesity, family history of Diabetes Mellitus (DM) and past history of GDM were among the risk factors found to be significantly associated with GDM.Conclusions: The incidence of GDM in present study population was 5.49%. Advancing maternal age, maternal obesity, family history of DM and past history of GDM were found to be important determinants of GDM.

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A study of prevalence and determinants of gestational diabetes mellitus

Cited by 6 publications

References 14 publications

Prevalence and risk factors of gestational diabetes mellitus in Asia: a systematic review and meta-analysis

Prevalence and risk factors of gestational diabetes mellitus in Asia: a systematic review and meta-analysis

Prevalence of gestational diabetes mellitus and associated risk factors amongst antenatal women attending urban health centre of Rajkot City, Gujarat

Incidence and risk factors of gestational diabetes mellitus in antenatal mothers in Goa, India

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